This document outlines a plan to improve communication between physicians and administrators at Northshore Evanston Hospital. The plan has three main goals: [1] Implement a dyad leadership structure pairing physicians and administrators, [2] Create a Medical Board of physician-administrator pairs to meet monthly, and [3] Partner with the informatics department and establish an employee recognition program. The goals are to enhance collaboration, provide representation of physicians in decision making, and ultimately improve patient care and employee satisfaction.